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Irene Jansen

CETA is a bad deal for municipalities! Council of Canadians July 2011 - 0 views

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    CETA and Health Care: Higher drug costs and more privatization The Canada-European Union Comprehensive Economic and Trade Agreement (CETA) will affect health care in two ways. The first is through EU demands for Canada to change its drug patent system to
Irene Jansen

Healthcare Challenges In An Era Of Fiscal Restraint CHSRF august 2011 - 0 views

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    In the early- to mid-1990s, provincial governments in Canada made deep cuts to health budgets following an economic recession. These cuts began amid a secular trend toward health system reform, but spurred governments to accelerate their efforts to get he
Irene Jansen

Flaherty's health spending limit is the easy first step - 0 views

  • surely the provinces can't be surprised that the feds won't keep putting money into health care at more than double the rate of inflation. Most are already taking the same kinds of responsible steps themselves
  • The federal contribution will be capped at the rate of increase in the gross domestic product. Economic growth is a reasonable proxy for the increase in federal tax revenues, but Flaherty will need to explain what happens if the country enters another recession. It's one thing to limit the rate of increase in health-care spending, quite another to cut the actual dollar amount.
  • Flaherty's plan to limit health funding increases is a bit of a blunt tool, but it does create a pressure on government to be responsible with our money.
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  • cataract surgery has become much quicker and more efficient, but the prices haven't gone down as a result because government has done nothing
    • Irene Jansen
       
      because provinces haven't reduced the fee-for-service rate to reflect physicians' reduced costs
  • Statistics from the Organization for Economic Co-operation and Development show that Canada is one of the highest health-care spenders, but has below average numbers of doctors, nurses, hospital beds, CT scanners and MRIs. Another study, the euro-Canada Health Consumer Index, found that Canada finished in the bottom third in a "bang for the buck" comparison with European countries.
  • choice and competition are what drives the more effective European systems
  • the act that governs medicare stifles innovation and competition, except in Quebec, where the federal government turns a blind eye to innovation and private sector involvement
  • Flaherty's plan to limit spending increases is sensible and necessary, but it requires no political courage. The much more important move would be to allow provinces to experiment with European ideas and introduce more innovation and competition
  • Randall Denley is a member of the Citizen's editorial board.
Irene Jansen

CTV News Channel: Are cuts on the horizon? - 0 views

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    Mike McBane: laying the ground for serious cuts, backing away from election promise of six percent for the duration of the accord, could translate to rural hospitals closing, we have a growing and aging population, we can't afford to cut without destabilizing services, need to stop tax cuts, Canada is not Europe re finances, need health care more than ever in times of economic insecurity (unemployment = poor health), if federal government cannot afford health care, who can?
Irene Jansen

Canada Health Transfer: Equal-per-Capita Cash by 2014 - 0 views

  • The CHT includes a cash transfer and a tax point transfer. The total cash transfer is set in legislation and grows by 6% annually. The tax point transfer corresponds to 13.5 percentage points of personal income tax and 1 percentage point of corporate income tax.
  • Each province’s per capita CHT cash is calculated as a residual (i.e., the province’s per capita share of total CHT less its per capita tax point transfer).
  • CHT cash includes an equalizing component, since the per capita cash transfer is higher for provinces with relatively weak tax point transfers, and vice versa.
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  • In response to the view that interprovincial equity is more appropriately addressed through the Equalization program, in Budget 2007 the federal government committed to remove the equalizing component of the CHT by legislating that the cash transfer move to an equal-percapita allocation in 2014–2015
  • Concerns about the equalizing component of the cash transfer have been raised more recently due to economic shifts resulting from high natural resource prices, a stronger Canadian dollar, and a decline in manufacturing. For example, even though Ontario became a poorer province relative to provinces with abundant natural resources, its per capita CHT cash transfer continued to be lower than average due to its relatively strong tax point transfer.
    • Irene Jansen
       
      Why did Ontario have a strong tax point transfer if its economy (and hence corporate and income tax base) was weak?
  • In response to these recent economic shifts, Budget 2009 facilitated the move to an equal-per-capita cash transfer for Ontario by ensuring that the province immediately receive the same per capita CHT cash as other relatively poorer provinces
Irene Jansen

Canada's Best Kept Secret Revealed. Council of Canadians. 2008 - 0 views

  • Canada’s Best Kept Secret Revealed: Public health care gives Canada an economic advantage – despite the high dollar
  • This analysis neglects an important point: As the recent United Auto Workers-General Motors collective agreement reminds us, Canadian companies don’t have to deal with the health care headaches of our neighbours – or with the costs. Indeed, the fact that Canadian companies, large and small, don’t have to offer health benefits to compete for the most talented and productive workers explains in large part why we are still largely competitive in the NAFTA era – despite our skyrocketing dollar.
Irene Jansen

Canadian Health Coalition pharmacare campaign website - 0 views

  • New report makes the economic case for Pharmacare
  • Download the groundbreaking new report, The Economic Case for Universal Pharmacare. The report lays out the formula for a Pharmacare program that not only covers all Canadians, but could annually save up to $10.7 billon in spending. The report garnered the endorsement of eminent doctors, nurses, economists and researchers.
Govind Rao

Minister Ambrose Addresses the Economic Club of Canada - Press Release - Digital Journal - 0 views

  • Jan. 30, 2014) - Health Canada
  • Today, Health Minister, Rona Ambrose, addressed the Economic Club of Canada to highlight the Government of Canada's work to harness the tremendous potential of innovation to improve the quality and fiscal sustainability of Canada`s health system.
  • increased health transfers
Govind Rao

International | CIHI - 0 views

  • Canada’s Health System: International Comparisons Comparing countries’ health systems can help Canadians understand how well their health system is working. Although health information is collected and used differently in every country, policy-makers, practitioners and the public can use international comparisons to establish priorities for improvement, set goals and motivate stakeholders to act. The Organisation for Economic Co-operation and Development (OECD) provides comprehensive, reliable international data that measures the economic and social well-being of people around the world. The OECD coordinates activities between countries and develops indicators that, among other things, can be used to compare health systems.
Govind Rao

Taxing the rich is good for the economy, IMF says - Business - CBC News - 0 views

  • Research paper debunks theory that taxing rich people slows overall growth
  • Feb 26, 2014
  • A new paper by researchers at the International Monetary Fund appears to debunk a tenet of conservative economic ideology — that taxing the rich to give to the poor is bad for the economy. The paper by IMF researchers Jonathan Ostry, Andrew Berg and Charalambos Tsangarides will be applauded by politicians and economists who regard high levels of income inequality as not only a moral stain on society but also economically unsound.
Govind Rao

The big lie - 0 views

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    The Telegram (St. John's) Sat Aug 10 2013 Page: A19 Section: Weekend Opinion Byline: Lana Payne Jim Flaherty, Stephen Harper's finance minister, has become a master storyteller. His latest tale, or at least the one his friends are spinning for him, is the deficit was caused by the great recession of 2009. Like every tale, there is a kernel of truth. This new version of history is necessary in order to perpetuate the falsehood that his government is a good manager of the economy. But this is not a deficit the government can blame on the great recession and the subsequent stimulus budget that followed. Rather, Canada's $18.7-billion deficit has it roots in failed economic policies, decisions made before the world financial crisis, including reckless corporate tax cuts. Remember, because the Conservatives would like us to forget, that this is a government that inherited $13 billion in surpluses. They quickly emptied the cupboard with one tax cut after another... We know that governments don't play hardball with big business. Indeed, our federal government saves all the hardball for the provinces. And the biggest piece of hardball is about to unfold over the next year as provinces tie themselves into knots trying to figure out how to pay for health care given the federal government edict. The current health accord ends in 2014 and Harper, with no consultations, has told the provinces to expect a lot less from Ottawa. After all, he has to pay for those corporate tax cuts. No money for health care, but lots for big business. Expect to be told that health care is unsustainable. That we can no longer afford it. Another big lie....
Govind Rao

National health accord's expiry threatens public health care, say proponents - 0 views

  • March 31, 2014
  • By Terry McEachern and Jonathan Charlton
  • The Raging Grannies were among activists who gathered in Saskatoon Monday to protest the expiry of the federal health accord.
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  • REGINA — With the expiration of the Canada Health Accord on Monday, organized labour in Saskatchewan says without a new deal with the federal government, the $1.1 billion that will be lost in federal funding after 2017 will compromise patient safety and possibly lead to privatization and inequality in the health care system.“The Canada Health Accord was designed to restore federal funding, provide stability and national standards, and to ensure universality in our health care system,” said Tom Graham, president of the Canadian Union of Public Employees Saskatchewan branch, at a news conference.Graham called on the provinces, territories and federal government to negotiate a new agreement. Without one, funding from the Canada Health Transfer will remain at six per cent annual increases until 2017. After that, for a decade, a new formula using three-per-cent annual increases plus economic and population growth will come into effect.That amounts to a loss of $1.1 billion for Saskatchewan and $36 billion overall after 2017.Graham suggested this loss in funding will have to be made up through funding cuts in other areas or by raising provincial taxes.Tracy Zambory, president of the Saskatchewan Union of Nurses (SUN), added that significant changes to the health care system could result from federal funding models tied to economic performance and population.
Govind Rao

CHPI: New Research Suggests That the Solution to Healthcare Sustainability in Canada is... - 0 views

  • April 7, 2014
  • A research paper published by the Canadian Health Policy Institute (CHPI)
  • suggests that the solution to the sustainability challenge in healthcare is productivity gains - not rationing access to medical goods and services.The research compared productivity growth in healthcare relative to other economic sectors in Canada. It observed that between 1987 and 2006, productivity for total industry grew at an annual rate of approximately 1.1%, with a slight acceleration in the latter decade. By contrast, over the same period, healthcare showed average annual productivity declines of 0.4%, with the declining trend accelerating in the latter decade. The paper also examined health outcomes over the same period of time. It found that paradoxically, lagging economic productivity in health care has coincided with continually improving health outcomes for Canadians. The analysis was based on data from the Centre for the Study of Living Standards, the Canadian Institute for Health Information and Statistics Canada.
Govind Rao

Residents weigh in on the future of health care - Infomart - 0 views

  • Brock Citizen Thu Apr 24 2014
  • If Ottawa listens to the 'little guys', there could be positive changes to health care. And, thanks to the proactive efforts of health care teams across Canada, the federal government will know what the public wants. About 100 residents of Brock Township, the City of Kawartha Lakes, and Haliburton attended public consultations held in recent months as the Canada Health Accord comes up for renewal this year. The results were released in a special report 'Health Care Accord 2014 - The Future of Canadian Health Care' on Tuesday (April 15). The Accord is the agreement by which federal health care funding is given to the provinces. It is a 10-year agreement last negotiated in 2004. That year, the federal government committed to an increase of health care funding of six per cent per year. In 2011, the government announced that health care funding at that rate will continue until 2017. At that point any increase will be tied to economic growth, but not lower than three per cent annually. Funding will be calculated for each province/territory, based on its economic performance each year. Mike Perry, executive director of the City of Kawartha Lakes Family Health Team, a
Govind Rao

Health-care reform a story of missed opportunity - Infomart - 0 views

  • Penticton Herald Mon Apr 28 2014
  • This is too good to be true. As the review of the 2004 Health Accord by the Standing Senate Committee on Social Affairs, Science and Technology concluded in 2012, the achievements of the accord were mixed. The increased funding "had increased the provision of services, but had not resulted in reform of health-care systems, including the much-needed integration of different health-care sectors and the breaking down of silos." In other words, it has been pretty much business as usual. Story Number Two: The moderation in health expenditures is tied to the economic slowdown of the 2009 recession.
  • Story Number Three: Another explanation may be provincial adjustment to the end of the 2004 Health Accord and the imposition of a new Canada Health Transfer formula beginning in 2017, when the growth of federal health transfers will be linked to the national rate of economic growth and inflation with a floor of three per cent. It could be that provinces are being forward-looking and implementing costcontrol measures in advance of the day when federal transfer growth slows from the annual six per cent increases of the Health Accord.
Govind Rao

Globalization and Health | Full text | CETA and pharmaceuticals: impact of the trade ag... - 0 views

  • CETA and pharmaceuticals: impact of the trade agreement between Europe and Canada on the costs of prescription drugs Joel Lexchin123* and Marc-André Gagnon4
  • Globalization and Health 2014, 10:30  doi:10.1186/1744-8603-10-30
  • On a per capita basis, Canadian drug costs are already the second highest in the world after the United States and are among the fastest rising in the Organization for Economic Co-Operation and Development. The Comprehensive Economic and Trade Agreement (CETA) between the European Union (EU) and Canada will further exacerbate the rise in costs by: • Committing Canada to creating a new system of patent term restoration thereby delaying entry of generic medicines by up to two years; • Locking in Canada’s current term of data protection, and creating barriers for future governments wanting to reverse it; • Implementing a new right of appeal under the patent linkage system that will create further delays for the entry of generics.
Govind Rao

Economic and Social Integration of Immigrant Live-in Caregivers in Canada » I... - 0 views

  • Jelena Atanackovic and Ivy Lynn Bourgeault Diversity, Immigration and Integration April 16, 2014
  • Unlike most other temporary foreign workers in Canada, participants in the Live-In Caregiver Program (LCP) are eligible to apply for permanent residence after completing 24 months of paid employment within a period of four years. The LCP was introduced in 1992 to address a lack of live-in workers to care for dependent people. It is estimated that a total of 17,500 former caregivers, their spouses and dependants will be admitted as permanent residents in 2014.
  • Few studies have addressed the economic and social integration of LCP workers after the program or explored how different types of caregiving — for children, disabled people or older adults — affect integration. This study helps fill these gaps through extensive qualitative research, including interviews and focus groups with 58 live-in caregivers.
Govind Rao

Improving Our Health Care System Could Save Thousands of Lives a Year | Michel Grignon - 0 views

  • Associate professor, Departments of Economics and Health, Aging & Society, McMaster University, and Director, Centre for Health Economics and Policy Analysis
  • 05/12/2014
  • Canadian Institute for Health Information (CIHI) found that between 12,600 and 24,500 deaths could be prevented each year in Canada if our health system were perfectly efficient.
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  • Health regions in which the population has higher income on average are less efficient than those in which the population has lower income.
  • What can we do with such findings? First, we need to learn from the best health regions across the country how to monitor hospital stays (length and quality), guarantee access to family doctors for the poor, and make sure family physicians make up a reasonable proportion of the physician workforce. Secondly, we need to invest in public health -- not necessarily spending more -- finding ways to curb smoking rates, obesity rates, and to encourage physical activity.
  • Finally -- and perhaps, most importantly -- we need to re-think the way we allocate resources to regions in Canada. Not all regions require similar resources for the health of their populations. Regions who attract fewer immigrants, have more aboriginals in their population, and fewer individuals with higher education should receive more funding per capita because it costs more than in other regions to achieve similar levels of health gains. Conversely, regions with more immigrants, fewer aboriginals, and more highly educated individuals don't need the same health care dollars to get the same results.
  • Equality and equity are not the same thing where health is concerned. It's time we spread the health dollars where they are needed most.
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